Individual provider · Type 1 NPI

Jomarc Dasalla

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1558106922 Active

Practice location

1 Kneeland St # 1005
Boston, MA 02111-1527

Call (617) 636-6828 Map

Mailing address

91-1018 Kaiau Ave # 1B
Kapolei, HI 96707-1986

Other practice locations

  • 3270 Waialae Ave, Honolulu, HI 96816-5836 · (808) 732-4377
  • 1441 Kapiolani Blvd Ste 1207, Honolulu, HI 96814-4406 · (808) 354-0440
  • 98-1005 Moanalua Rd Spc 2000, Aiea, HI 96701-4700 · (808) 489-9539

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDT-3304 (HI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558106922

Jomarc Dasalla's National Provider Identifier is 1558106922, issued on Jun 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 28, 2026.